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A?PL. /��7 APPwICATION FOR SERYICE !iERVICE n� 3$ O <br />No. � • octoER <br />/�� S'7 CITY 0� EVERETT W/�'i ER D'ePT. /� /p <br />`y'� FIXED . DATE Z Z �/ ��_ 19`o Q <br />�"= <br />� DEPOSIT S__��5_O � W.O. <br />. __ . _. No._ '__ ' _ ----_--__-_ <br />SERVICEfevADDRE�6)_.. I��I.�-,S � _'S/___" ____" ____OLK..___LOT____A�rO.-_ _ <br />OWNER—_.-._ __ . _ .. _ ._ . _ __. _ ._.CON7RACTOR_I��CY SNA {i � V� _ <br />n � _ _ _ <br />INSTALL_ L_ -_. METEi7ED SERVICE_ � � <br />' _.__ _ ' _. ._'- "-'._-'_-____--y-= Y__"_'_ '— <br />1 HEREBY APPLY FOR TNE USE OF WATEfl �N ACCORDANCE WITIi THE <br />__ _ <br />� - � '1� - <br />ORUINANLES �N� POLICIES OF THE WATER UEPARTMENT NOW E%ISTING �- y <br />OR AS S�ME MAY BE HEflEAFTER LfIANGEO. Blar+eo: %/. �_ .. ._ <br />MqTERI.lL9 4'� �N. 1 IN. I 2 �N. PqICf. �MOUAT <br />PIPE '___ _ _ .�PPER :_ GALV. -_STEEL _.' ____ _ �'_,_ _--_. -'_'-_I _-' -. _l �_��..JLLI ��_,.. <br />CORPORATION ,, I iI � <br />__-_ ___-_... __._ _ ..__ __ __._.--.—_ - t_-- ._--��—�—_ <br />CURB COCK OT I r <br />- --- - ----- -- -L-- - � - - -- � 5` - <br />-- I � <br />SERVICE BGX PLASTIC -� C I <br />METER VAWE _. -_._'.___'—_'—_ / ___ . ' __'_ � �/�.. <br />"____-___.'_ _'_ _.__ '-____. _'__' _—' ' 1 <br />METER No. �%� f�_/OOY_fLNY_ _TYPE:'.i�aCC�lu. _ I-s� __ .�—. -- . -. V�I31 <br />METER 80% CONCRETE MALC LARGE ' <br />--�-- - -- - � I -- i _ _ �--�-��. _. <br />/ I -,- _ <br />i -�--- i - <br />-�--�--!. . <br />DATE INSTALLE[1: <br />� . ' ) . <br />LODE � <br />.__-_I�_L�,ll.t��_ __._-_' <br />� <br />//, . <br />_ y___—_ <br />FEtAARKS: <br />Jr G5J>> <br />I n �N <br />� � �� orF <br />L�BOR �ND E7UIPMFNIRENTAL <br />1. � � <br />l ). i' _ r.�v �._. <br />_---�- -; <br />�-�`� SUB TOTAL <br />. � <br />� HOUp9 RATE <br />I .� r II I . <br />" ". �.. . . "_ _"_' <br />I II <br />\ <br />�. <br />.� <br />